Lakeview Psychological Associates Sc | |
1020 Maritime Dr Manitowoc WI 54220-2922 | |
(920) 769-0152 | |
(920) 769-0153 |
Full Name | Lakeview Psychological Associates Sc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1020 Maritime Dr, Manitowoc, Wisconsin |
Authorized Official Name and Position | Gerelyn A Carducci (PSYCHIATRIST CO OWNER) |
Authorized Official Contact | 9207690152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeview Psychological Associates Sc 1020 Maritime Dr Manitowoc WI 54220-2922 Ph: (920) 769-0152 | Lakeview Psychological Associates Sc 1020 Maritime Dr Manitowoc WI 54220-2922 Ph: (920) 769-0152 |
NPI Number | 1831301464 |
---|---|
Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831301464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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